FOIA
P-2010-01021 INITIAL REQUEST
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
05568679
Release Decision:
RIPPUB
Original Classification:
U
Document Page Count:
2
Document Creation Date:
March 9, 2023
Document Release Date:
December 8, 2021
Sequence Number:
Case Number:
F-2011-02160
Publication Date:
August 18, 2010
File:
| Attachment | Size |
|---|---|
 P-2010-01021 INITIAL REQU[15999553].pdf | 53.52 KB |
Body:
08, 13/2010 15:22
Approved for Release: 2021/11/10 C05568679
PAGE 02 (b)(6)
Information and Privacy Coordinator
Central Intelligence Agency
Washington, D.C. 20505
Dear Coordinator:
O
08/13/2010
Under the Privacy Act, 5 U.S.C. section 552a, please furnish me with copies of all records (the
Agency does not require you to specify the record system) about me indexed to my name.
To help identify information about me in your record systems, I am providing the loll( ing
required it-am:mallow
I I' you deny all or any part of this request, please cite each specific exemption that forms the basis
of your refusal to release the information and notify me of appeal procedures available under the
law.
Under penalty of perjury, 1 hereby declare that I can the person named above and 1 understa.nd
that any falsification of this statement is punishable under the provisions rtfi Title 18. United States
Code111-5.C1, Section. 1001 by aline of not more than $10,000 or by imprisonment of not more
than five years, 07- both; and then requesting or obtaining any record(s) under false pretenses is
punishable under the propisions of Title 5, U. ,51. C.. Section. 552(00) U.S a misdemeanor and by
of/ire (11 001 more than $5,000."
sincerely,
(b)(6)
(b)(6)
Approved for Release: 2021/11/10 C05568679
0E/13/210 15:22
Approved for Release: 2021/11/10 C05568679
PAGE 01 (b)(E
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Fax Cover Sheet
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(b)(6)
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(b)(6)
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Approved for Release: 2021/11/10 C05568679
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